Sun Tzu said: The art of war recognizes nine varieties of ground: (1) Dispersive ground; (2) facile ground; (3) contentious ground; (4) open ground; (5) ground of intersecting highways; (6) serious ground; (7) difficult ground; (8) hemmed-in ground; (9) desperate ground.
When a chieftain is fighting in his own territory, it is dispersive ground.
When he has penetrated into hostile territory, but to no great distance, it is facile ground.
Ground the possession of which imports great advantage to either side, is contentious ground.
Ground on which each side has liberty of movement is open ground.
Ground which forms the key to three contiguous states, so that he who occupies it first has most of the Empire at his command, is a ground of intersecting highways.
When an army has penetrated into the heart of a hostile country, leaving a number of fortified cities in its rear, it is serious ground.
Mountain forests, rugged steeps, marshes and fens--all country that is hard to traverse: this is difficult ground.
Ground which is reached through narrow gorges, and from which we can only retire by tortuous paths, so that a small number of the enemy would suffice to crush a large body of our men: this is hemmed in ground.
Ground on which we can only be saved from destruction by fighting without delay, is desperate ground.
On dispersive ground, therefore, fight not. On facile ground, halt not. On contentious ground, attack not.
On open ground, do not try to block the enemy's way. On the ground of intersecting highways, join hands with your allies.
On serious ground, gather in plunder. In difficult ground, keep steadily on the march.
On hemmed-in ground, resort to stratagem. On desperate ground, fight.
When a chieftain is fighting in his own territory, it is dispersive ground.
When he has penetrated into hostile territory, but to no great distance, it is facile ground.
Ground the possession of which imports great advantage to either side, is contentious ground.
Ground on which each side has liberty of movement is open ground.
Ground which forms the key to three contiguous states, so that he who occupies it first has most of the Empire at his command, is a ground of intersecting highways.
When an army has penetrated into the heart of a hostile country, leaving a number of fortified cities in its rear, it is serious ground.
Mountain forests, rugged steeps, marshes and fens--all country that is hard to traverse: this is difficult ground.
Ground which is reached through narrow gorges, and from which we can only retire by tortuous paths, so that a small number of the enemy would suffice to crush a large body of our men: this is hemmed in ground.
Ground on which we can only be saved from destruction by fighting without delay, is desperate ground.
On dispersive ground, therefore, fight not. On facile ground, halt not. On contentious ground, attack not.
On open ground, do not try to block the enemy's way. On the ground of intersecting highways, join hands with your allies.
On serious ground, gather in plunder. In difficult ground, keep steadily on the march.
On hemmed-in ground, resort to stratagem. On desperate ground, fight.
Translated from the Chinese By Lionel Giles, M.A. (1910)
Discussion:
Battle fields are translated into care settings.Translation:
Sun Tzu would have said: The art of healthcare recognizes nine varieties of care settings: (1) home care; (2) community care; (3) shared care; (4) mobile care; (5) managed care; (6) acute care; (7) remote care; (8) emergency care; (9) intensive care.
When a patient is treating himself in his own home, it is home care.
When he has ambulated into professional territory, but to no great distance, it is community care.
Care setting the possession of which imports great advantage to either side, is shared care.
Care setting on which each side has liberty of movement is mobile care.
Care setting which forms the key to three levels of institutions, so that he who occupies it as the primary care practitioner has most of the care plan at his command, is managed care.
When a patient has been admitted into the heart of a hospital ground, accomanying a number of specialised services in its rear, it is acute care.
Mountain forests, rugged steeps, marshes and fens--all country that is hard to traverse: this is remote care.
Care setting which is reached through narrow paths, and from which we can only be released by tortuous examinations, so that a small number of the bed shortage would suffice to crush a large body of our services: this is emergency care.
Ground on which we can only be saved from destruction by treating without delay, is intensive care.
On home care, therefore, deteriorate not. On community care, discontinue not. On shared care, dispute not.
On mobile care, do not try to block the patient’s way. On managed care, join hands with your allies.
On acute care, gather evidence. In remote care, keep steadily on the transportation.
On emergency care, resort to stratagem. On intensive care, resuscitate.
Ray Murakami
When a patient is treating himself in his own home, it is home care.
When he has ambulated into professional territory, but to no great distance, it is community care.
Care setting the possession of which imports great advantage to either side, is shared care.
Care setting on which each side has liberty of movement is mobile care.
Care setting which forms the key to three levels of institutions, so that he who occupies it as the primary care practitioner has most of the care plan at his command, is managed care.
When a patient has been admitted into the heart of a hospital ground, accomanying a number of specialised services in its rear, it is acute care.
Mountain forests, rugged steeps, marshes and fens--all country that is hard to traverse: this is remote care.
Care setting which is reached through narrow paths, and from which we can only be released by tortuous examinations, so that a small number of the bed shortage would suffice to crush a large body of our services: this is emergency care.
Ground on which we can only be saved from destruction by treating without delay, is intensive care.
On home care, therefore, deteriorate not. On community care, discontinue not. On shared care, dispute not.
On mobile care, do not try to block the patient’s way. On managed care, join hands with your allies.
On acute care, gather evidence. In remote care, keep steadily on the transportation.
On emergency care, resort to stratagem. On intensive care, resuscitate.
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